In the article we present and evaluate our successful immediate attempts of traumatic thumb loss reconstruction in the last fourteen years: early passive stump elongation, immediate pollicization and replantation. Our experience confirms the known fact that in spite of unfavorable oblique transarticular thumb amputation with interphalangeal joint destruction, considerable bone shortening and interphalangeal joint fusion, successful replantation offered us better cosmetic and partially functional outcome than the one we have obtained ealier with other methods of immediate thumb reconstruction.

        Key words: thumb, stump elongation, pollicization, replantation